Accept Checks by Phone, Web, or Fax - Check Processing Software

Application and ABA Routing/Account Number Verification Authorization Form

Enter Your Details:

Name:

Username:

Password:

Phone:

Application Date:

Enter Bank Details:

Type of Account:

Checking Account

Saving Account

Routing Number:

Account Number:

Bank Name:

I, hereby authorize to verify my account and routing number details.

As the account holder, I hereby authorize the above verification process and understand the below terms and conditions and allow my account and routing number to verify by 3rd party service provider which is Giact.

Account Holder Signature:

Date:

Your completion of this authorization form helps us to protect you, our valued customers, from fraud. All information entered on this form will be kept strictly confidential by Cardless Paytech LLC.

Terms & conditions: Once we receive your filled application, we will use GIACT’S service to verify your account and routing details. If we find out anything wrong in the information provided by you then we will not processed further and will not provide you access of our service.

You may call their Consumer Resolutions toll-free phone number which is (833) 802-8092 and find out why they have given us declined message while we run your account and routing number in their system. Or why we are declining your application. You may also reach out to us and we can guide you to connect with them. You may need to provide them more details before they can help you. For example your full name, home address or other details they may ask to verify your identity.

If you try to give us fake or fraud account and routing number then we will not move forward and simply block you from our system.